Shelly Jackson is a licensed practical nurse in Lancaster, OH. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Shelly Jackson NPI is 1750823829. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1592 GRANVILLE PIKE
LANCASTER, OH
ZIP 43130-076
Phone: (740) 687-0835
The CLIA number assigned to this NPI record is 36D0933566 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/7/2016 and was last updated on 2/1/2017.